Performing an assessment of a client provides which type of information?
a. subjective
b. objective
c. subjective and objective
d. data collected by visualization of client
C
Assessment provides subjective and objective information, and includes taking the clients vital signs, acquiring data by visualizing the client physically and watching for client actions and responses, touching the client, and smelling for odors. The nurse should listen to what the client says, the tone used, and sounds made from the body by actively listening through a stethoscope. Secondary sources, such as labs, are also considered. The LPN/LVN is taught to make observations, collect data, and respond to particular situations.
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A home health nurse manager is instructing new staff regarding evidence-based practices of wound management. Which will the manager's teaching include?
Select all that apply. A) "Wounds should be kept dry and should not be covered until a scab forms." B) "Allowing a wound to remain dry or applying a dry wound covering may slow the healing process." C) "Wound covering helps maintain a dry environment, decreasing the chance of infection such as cellulitis." D) "Proper wound moisture management can reduce pain and improve the cosmetic outcome." E) "Three methods for proper wound management include cleansing techniques, proper wound covering, and ointment application."
The nurse is working with an 83-year-old who was recently widowed. The client answers questions with one word, and offers very little information without prompting. The nurse should determine that the client:
1. Is still angry about the loss. 2. Is withdrawing. 3. Remains in shock. 4. Has accepted the loss.
A nurse is obtaining a lipoprotein profile for a client diagnosed with hyperlipidemia. Which of the following measurements would be obtained? Select all that apply
A) Total cholesterol B) Triglycerides C) LDL D) ALT E) AST
A 72-year-old client hospitalized with a second episode of pneumonia in the past 18 months expressed frustration to the nurse, stating that he never used to get sick in the past. Which response by the nurse is most appropriate?
A) "As you grow older, there is a decrease in the speed and strength of the immune system, which puts you at greater risk for developing an infection." B) "As you grow older, your immune system just quits working." C) "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response." D) "As you grow older, there in an overall increase in the speed and strength of your immune response."